Research Article

Effect of Presence versus Absence of Hypertension on Admission Heart Rate-Associated Cardiovascular Risk in Patients with Acute Coronary Syndrome

Table 1

Baseline characteristics of the study population according to admission heart rate.

VariablesAdmission heart rate tertiles value
T1: ≤66 bpm (n = 369)T2: 67–73 bpm (n = 322)T3: ≥74 bpm (n = 365)

Age (years)58.7 ± 10.359.3 ± 9.961.1 ± 11.30.007
Female sex, n (%)85 (23.0)87 (27.0)98 (26.8)0.384
BMI (kg/m2)25.2 (23.8–27.7)25.2 (23.7–27.4)25.1 (23.4–28.0)0.837
Admission SBP (mm Hg)129 ± 17132 ± 16131 ± 170.056
Admission DBP (mm Hg)76 ± 1077 ± 1077 ± 120.049
Current smoking, n (%)174 (47.2)138 (42.9)152 (41.6)0.289
Family history of CAD, n (%)107 (29.0)95 (29.5)123 (33.7)0.324
Hypertension, n (%)210 (56.9)196 (60.9)241 (66.0)0.040
Diabetes, n (%)146 (39.6))143 (44.4)188 (51.5)0.005
Dyslipidemia, n (%)286 (77.5)256 (79.5)314 (86.0)0.009
CKD, n (%)14 (3.8)13 (4.0)31 (8.5)0.008
Prior MI, n (%)41 (11.1)54 (16.8)65 (17.8)0.025
Types of ACS, n (%)
 UA288 (78.0)239 (74.2)240 (65.8)0.001
 NSTEMI45 (12.2)38 (11.8)61 (16.7)0.105
 STEMI36 (9.8)45 (14.0)64 (17.5)0.009
 LVEF (%)64 ± 663 ± 863 ± 80.102
Medications before admission, n (%)
 Antiplatelet therapy241 (65.3)216 (67.1)215 (58.9)0.060
 Statins227 (61.5)216 (67.1)215 (58.9)0.081
 ACEIs/ARBs101 (27.4)67 (20.8)86 (23.6)0.127
 DHP-CCBs109 (29.5)102 (31.7)125 (34.2)0.391
 Insulin39 (10.6)50 (15.5)69 (18.9)0.006
 Sulfonylurea39 (10.6)42 (13.0)37 (10.1)0.435
 Metformin35 (9.5)30 (9.3)64 (17.5)0.001
 α-Glucosidase inhibitors28 (7.6)36 (11.2)41 (11.2)0.173
Angiographic characteristics, n (%)
Left-main disease0 (0.0)2 (0.6)0 (0.0)0.102
Three-vessel disease145 (39.3)144 (44.7)228 (62.5)<0.001
Proximal LAD stenosis147 (39.8)156 (48.4)218 (59.7)<0.001
Bifurcation or trifurcation lesions258 (69.9)227 (70.5)300 (82.2)<0.001
Heavy calcification lesions59 (16.0)70 (21.7)154 (41.4)<0.001
Procedural results, n (%)
 DES305 (82.7)273 (84.8)315 (86.3)0.390
 BRS45 (12.2)13 (4)7 (1.9)<0.001
 DCB13 (3.5)21 (6.5)17 (4.7)0.206
 Complete revascularization283 (76.7)231 (71.7)160 (43.8)<0.001

value: one-way ANOVA or Kruskal–Wallis H-test for continuous variables and chi-square test for categorical variables. BMI, body mass index; SBP, systolic blood pressure; DBP, diastolic blood pressure; CAD, coronary artery disease; CKD, chronic kidney disease; MI, myocardial infarction; ACS, acute coronary disease; UA, unstable angina; NSTEMI, non-ST-segment elevation myocardial infarction; STEMI, ST-segment elevation myocardial infarction; LVEF, left ventricular ejection fraction; ACEIs, angiotensin-converting enzyme inhibitors; ARB, angiotensin II receptor blocker; DHP-CCB, dihydropyridine-calcium channel blocker; LAD, left anterior descending.